Effects of cilostazol, an antiplatelet agent, on axonal regeneration following nerve injury in diabetic rats

To evaluate the ability of cilostazol, an antiplatelet and vasodilating agent, to promote axonal regeneration in streptozotocin-induced diabetic rats, the time until beginning of regeneration (initial delay) and the axonal regeneration rate of the sciatic nerve were estimated using the pinch test, a...

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Veröffentlicht in:European journal of pharmacology 1998-07, Vol.352 (2), p.171-178
Hauptverfasser: Yamamoto, Yasuchika, Yasuda, Yoshinobu, Kimura, Yukio, Yoshiaki Komiya
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container_title European journal of pharmacology
container_volume 352
creator Yamamoto, Yasuchika
Yasuda, Yoshinobu
Kimura, Yukio
Yoshiaki Komiya
description To evaluate the ability of cilostazol, an antiplatelet and vasodilating agent, to promote axonal regeneration in streptozotocin-induced diabetic rats, the time until beginning of regeneration (initial delay) and the axonal regeneration rate of the sciatic nerve were estimated using the pinch test, and ornithine decarboxylase activity was measured in dorsal root ganglia. At 5 weeks of diabetes, axonal regeneration rate remained unchanged but the initial delay was prolonged and ornithine decarboxylase induction was delayed in diabetic rats compared with those in normal rats. Cilostazol had little effect on these parameters in normal or diabetic rats. At 10 weeks of diabetes, diabetic rats showed both prolongation of initial delay and a decrease in axonal regeneration rate. Cilostazol markedly increased axonal regeneration rate in diabetic rats. Ornithine decarboxylase induction following nerve injury disappeared almost completely in diabetic rats but was maintained by cilostazol treatment. The effect of cilostazol in diabetic rats is thought to be mediated through its preventive effect on circulatory disorders. The active site of the drug appears to be early processes in nerve regeneration before ornithine decarboxylase induction. Further, the results suggest that the both axonal regeneration and this induction are sensitive to circulatory defects in diabetes.
doi_str_mv 10.1016/S0014-2999(98)00356-2
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At 5 weeks of diabetes, axonal regeneration rate remained unchanged but the initial delay was prolonged and ornithine decarboxylase induction was delayed in diabetic rats compared with those in normal rats. Cilostazol had little effect on these parameters in normal or diabetic rats. At 10 weeks of diabetes, diabetic rats showed both prolongation of initial delay and a decrease in axonal regeneration rate. Cilostazol markedly increased axonal regeneration rate in diabetic rats. Ornithine decarboxylase induction following nerve injury disappeared almost completely in diabetic rats but was maintained by cilostazol treatment. The effect of cilostazol in diabetic rats is thought to be mediated through its preventive effect on circulatory disorders. The active site of the drug appears to be early processes in nerve regeneration before ornithine decarboxylase induction. 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Further, the results suggest that the both axonal regeneration and this induction are sensitive to circulatory defects in diabetes.</description><subject>Animals</subject><subject>Antiplatelet vasodilating agent</subject><subject>Axonal regeneration</subject><subject>Axons - drug effects</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - analysis</subject><subject>Body Weight</subject><subject>Cardiovascular system</subject><subject>Cilostazol</subject><subject>Diabetes Mellitus, Experimental - complications</subject><subject>Diabetic Neuropathies - drug therapy</subject><subject>Diabetic Neuropathies - enzymology</subject><subject>Enzyme Induction</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nerve injury</subject><subject>Nerve Regeneration - drug effects</subject><subject>Ornithine decarboxylase</subject><subject>Ornithine Decarboxylase - biosynthesis</subject><subject>Pharmacology. Drug treatments</subject><subject>Phosphodiesterase inhibitor</subject><subject>Platelet Aggregation Inhibitors - pharmacology</subject><subject>Platelet Aggregation Inhibitors - therapeutic use</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Sciatic Nerve - physiopathology</subject><subject>Streptozocin</subject><subject>Streptozotocin diabetic rat</subject><subject>Tetrazoles - pharmacology</subject><subject>Tetrazoles - therapeutic use</subject><subject>Vasodilator agents. 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subjects Animals
Antiplatelet vasodilating agent
Axonal regeneration
Axons - drug effects
Biological and medical sciences
Blood Glucose - analysis
Body Weight
Cardiovascular system
Cilostazol
Diabetes Mellitus, Experimental - complications
Diabetic Neuropathies - drug therapy
Diabetic Neuropathies - enzymology
Enzyme Induction
Male
Medical sciences
Nerve injury
Nerve Regeneration - drug effects
Ornithine decarboxylase
Ornithine Decarboxylase - biosynthesis
Pharmacology. Drug treatments
Phosphodiesterase inhibitor
Platelet Aggregation Inhibitors - pharmacology
Platelet Aggregation Inhibitors - therapeutic use
Rats
Rats, Wistar
Sciatic Nerve - physiopathology
Streptozocin
Streptozotocin diabetic rat
Tetrazoles - pharmacology
Tetrazoles - therapeutic use
Vasodilator agents. Cerebral vasodilators
title Effects of cilostazol, an antiplatelet agent, on axonal regeneration following nerve injury in diabetic rats
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